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Confidentiality
Nicole Dudley
Discussion 2 Wk 1
MHA-690
Training Healthcare Staff On
HIPAA
 Include during new hire orientation
 Conduct yearly and as need to all staff regardless of title
or role
 HIPAA staff development shall include
 Real life scenarios
 Quiz at the end of training
 Assess the learner’s understanding
 Identify areas of needed improvement
(The Regents of the University of California, [RUC], 2013)
Organizational Culture
 Challenge leadership to create a culture of awareness and accountability
(Johnson, 2009)
 Review policies and procedures related to HIPAA and organization’s code of conduct
 No casual conversation of PHI (protected health information) among employees
 No discussion of PHI on social media
(RUC, 2013)
 Risk management/ Privacy officer
 Open door policy
 Encourage & empower employees to confidentially report potential breaches
 Hotline
 Organization’s webpage
(Nash & Goldfarb, 2006)
Protection & Security
 Reinforce access of PHI based on need to know
 Utilize TPO (Treatment, Payment, Operations)
 Does an employee need to know in order to deliver quality
treatment/care?
 Does the employee need to know to help process payments and
claims?
 Does the employee need to know related to operational needs
of the organization?
 If yes, proceed with access
 If unsure, contact supervisor or privacy officer
(RUC, 2013)
Accessing EMRs
 Utilize technology to strengthen security
 Require difficult, short-term passwords
 Random electronic audits to detect high/frequent access of individual
health information
 2 password requirement (1 must be supervisor) for:
 Highly sensitive (financial)
 High profile/celebrity
 Secure physical environment of stored records
 Key card & passcode access
 Security guard at entrance
 Video camera at entrance
(Tan, 2010)
References
 Johnson, J. (2009). Health organizations: Theory, behavior, and
development. Sudbury, MA: Jones and Bartlett.
 Nash, D., & Goldfarb, N. (2006). The quality solution: The
stakeholder’s guide to improving health care. Sudbury, MA: Jones
and Bartlett.
 Tan, J. (2010). Adaptive health management
information systems: Concepts, cases, and
practical applications (3rd ed.). Sudbury, MA:
Jones and Bartlett.
References
 The Regents of University of California. (2013). HIPAA
101 privacy and security training. Retrieved
from
http://hipaa.ucsf.edu/education/downloads/
HIPAA101Training.pdf

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Tips To Improve Confidentiality Within Healthcare Organizations

  • 2. Training Healthcare Staff On HIPAA  Include during new hire orientation  Conduct yearly and as need to all staff regardless of title or role  HIPAA staff development shall include  Real life scenarios  Quiz at the end of training  Assess the learner’s understanding  Identify areas of needed improvement (The Regents of the University of California, [RUC], 2013)
  • 3. Organizational Culture  Challenge leadership to create a culture of awareness and accountability (Johnson, 2009)  Review policies and procedures related to HIPAA and organization’s code of conduct  No casual conversation of PHI (protected health information) among employees  No discussion of PHI on social media (RUC, 2013)  Risk management/ Privacy officer  Open door policy  Encourage & empower employees to confidentially report potential breaches  Hotline  Organization’s webpage (Nash & Goldfarb, 2006)
  • 4. Protection & Security  Reinforce access of PHI based on need to know  Utilize TPO (Treatment, Payment, Operations)  Does an employee need to know in order to deliver quality treatment/care?  Does the employee need to know to help process payments and claims?  Does the employee need to know related to operational needs of the organization?  If yes, proceed with access  If unsure, contact supervisor or privacy officer (RUC, 2013)
  • 5. Accessing EMRs  Utilize technology to strengthen security  Require difficult, short-term passwords  Random electronic audits to detect high/frequent access of individual health information  2 password requirement (1 must be supervisor) for:  Highly sensitive (financial)  High profile/celebrity  Secure physical environment of stored records  Key card & passcode access  Security guard at entrance  Video camera at entrance (Tan, 2010)
  • 6. References  Johnson, J. (2009). Health organizations: Theory, behavior, and development. Sudbury, MA: Jones and Bartlett.  Nash, D., & Goldfarb, N. (2006). The quality solution: The stakeholder’s guide to improving health care. Sudbury, MA: Jones and Bartlett.  Tan, J. (2010). Adaptive health management information systems: Concepts, cases, and practical applications (3rd ed.). Sudbury, MA: Jones and Bartlett.
  • 7. References  The Regents of University of California. (2013). HIPAA 101 privacy and security training. Retrieved from http://hipaa.ucsf.edu/education/downloads/ HIPAA101Training.pdf